Corporate Compliance

Transmittals and MLN Matters articles: CMS posts new cost report, issues emergency MPFS update, and more

Medicare Insider, January 4, 2011

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CMS issues new hospital cost report

On December 30, CMS issued a transmittal to implement a new hospital cost report (CMS-2552-10), effective for cost reporting periods beginning on or after May 1, 2010.

View the transmittal.

CMS posts correction to definition of renal disease

On December 29, CMS issued a transmittal to make a manual correction regarding the definition of renal disease. CMS is changing the definition of renal disease to coincide with existing policy regulations. Currently, the manual defines renal disease as chronic renal insufficiency or the  medical condition of a beneficiary who has been discharged from the hospital after a successful renal transplant  within the last 6 months.  CMS is correcting the "6 month" language to "36 months."  All other information relating to medical nutrition therapy remains the same.

Effective date: January 1, 2002
Implementation date: March 29, 2011

View the transmittal.

CMS instructs MACs on RAC appeals reporting

On December 29, CMS issued a transmittal to provide new instructions to Medicare administrative contractors (MAC) regarding RAC monthly appeals reporting.

Effective date: January 28, 2011
Implementation date: January 28, 2011

View the transmittal.

CMS issues emergency MPFS update

On December 29, CMS posted a transmittal to implement emergency updates to the Medicare physician fee schedule data files as a result of statutory changes.

Effective date: January 1, 2011
Implementation date:  No later than January 14, 2011 for contractors January 3, 2011 for the common working file

View the transmittal.

View the updated MPFS data files.

CMS updates telehealth originating site facility fee

On December 29, CMS issued a transmittal to post the telehealth originating site facility fee for 2011. For calendar year 2011, the payment amount for HCPCS code Q3014 (telehealth originating site facility fee) is 80% of the lesser of the actual charge or $24.10.  The beneficiary is responsible for any unmet deductible amount or coinsurance.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

CMS posts special article for RHCs and FQHCs

CMS has released a special edition MLN Matters article to provide billing guidance for rural health clinics (RHC) and federally qualified health centers (FQHC). The article t describes the information FQHCs are required to submit in order for CMS to develop an FQHC PPS. It also explains how RHCs should bill for certain preventive services under the Patient Protection and Affordable Care Act.

View the special edition article.

MLN Matters articles

CMS issued several MLN Matters articles related to transmittals previously outlined in Medicare Weekly Update.



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